Psychiatric issues in renal failure and dialysis

Abstract

This article aims to bring to the fore, issues regarding the interface of psychiatry and renal failure. Depression, anxiety, suicide and delirium are common complications observed in patients with renal failure. Pharmacological management of these problems need stringent monitoring on part of the psychiatrist. This article examines the various complications that may be observed in patients with renal failure while discussing treatment approaches and also emphasizing the need for interdisciplinary team work in improving the quality of life of patients with renal failure and those on dialysis.

Pengaruh Relaksasi Dzikir terhadap Tingkat Kecemasan Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa

“…Kecemasan yang tidak teratasi dapat menimbulkan beberapa dampak diantaranya seseorang cenderung mempunyai penilaian negatif tentang makna hidup, penurunan kualitas hidup, perubahan emosional seperti depresi kronis serta gangguan psikosa (Cukor, Coplan, Brown, & Friedman, 2008;Najmuddin, 2006). Kecemasan yang dialami pasien GGK yang menjalani hemodialisis dapat disebabkan oleh berbagai stressor, diantaranya: pengalaman nyeri pada daerah penusukan fistula saat memulai hemodialisis, komplikasi hemodialisis, ketergantungan pada orang lain, kesulitan dalam mempertahankan pekerjaan, finansial, ancaman kematian perubahan konsep diri, perubahan peran serta perubahan interaksi sosial (Finnegan, Jennifer & Veronica, 2013;De Sousa, 2008;Wang & Chen, 2009;Santoso. 2005;Smeltzer & Bare, 2002) Stressor yang menyebabkan cemas pada pasien GGK cenderung menetap, oleh karena itu diperlukan suatu strategi yang efektif, efisien, dan mudah dilakukan untuk mampu mengurangi kecemasan sehingga pasien mampu beradaptasi terhadap stressor yang ada.…”

Screening for depression and associated risk factors among Egyptian end-stage renal disease patients on haemodialysis

“…Work, in addition to being a source of income, is often associated with a sense of accomplishment, self-esteem and identity [50]. Vocationally active HD patients in the last 6 months were unlikely to have depression; thus, fitness in work and not the type of job was one of the highly significant risk factors for development of depression in our HD patients.…”

Psychiatric co morbidities in ESRD Patients Recently Placed on Haemodialysis : A Prospective Observational Study from a Tertiary Care Hospital

“…Such co morbidities are quite common in the studies done out side Bangladesh 17 . This indicates the high resilience and coping skills of Bangladeshi people resulting from their closely-knit social and religious background.…”